| NPI | 1235996232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY ANNE LEWIS CEO 505-410-9548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics Neurodevelopmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2050X Respite Care Respite Care Camp | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |